22. European Stroke Conference 2027 Physiotherapy and early rehabilitation including intensive care and artificial respiration Interdisciplinary team with extended therapy team working model demonstrates functional gains and short length of stay on Acute Stroke Unit A.L. Wheat1 University Hospital of North Staffordshire, Stoke-On-Trent, UNITED KINGDOM1 Introduction: Acute Stroke patients require admission to an Acute Stroke Unit with a dedicated stroke multi-disciplinary team to achieve the best outcomes. It is essential that there is patient flow through the acute unit. Interdisciplinary teams have been shown to improve outcome and decrease length of stay, but primarily in rehabilitation settings. Method: Retrospective data collection on 20 patients who were admitted to the Acute Stroke Unit. All patients received treatment by the specialist therapy team (Occupational Therapy and Physio-therapy) based on the Acute Stroke Unit following an interdisciplinary and functional approach inte-grated with the nursing team. The therapy team has a 7 day working model covering 12 hours. The intensity of treatment was individual to patients’ needs. All patients were discharged to their normal place of residence with support from the Early Supported Discharge Team. Results: Of the 20 patients functional improvements were demonstrated by improving scores on the Barthel Index (B.I), Natiional Instiute of Health Stroke Scale (NIHSS) and modified Rankin Scale (mRs) when comparing admission and discharge scores. The mean change in scores was an increase of 7 points for BI and,reduction by 6 points (NIHSS). The median change in mRS was 1 point. The median length of stay on the Acute Stroke Unit was 4.0 days. The readmission rate was 10%. Conclusion: Interdisciplinary working with extended therapy hours on an Acute Stroke Unit produc-es favourable functional outcomes, reduces length of stay having economic benefits and ensuring flow through the Acute Stroke Unit. 210 © 2013 S. Karger AG, Basel 7. Nurses & AHP‘s Meeting 2028 Physiotherapy and early rehabilitation including intensive care and artificial respiration Associations between Aerobic Capacity and Walking Capacity after Stroke; a Meta-analysis. J.C. Outermans1, I. van de Port2, H. Wittink3, G. Kwakkel4 Hogeschool Utrecht University of applied science, Utrecht, THE NETHERLANDS1, Revant, Breda, THE NETHERLANDS2, Hogeschool Utrecht University of applied science, Utrecht, THE NETHERLANDS3, Free University Amsterdam, Amsterdam, THE NETHERLANDS4 Background Restoration of walking is a primary goal following a stroke. It has been shown that walking capacity, defined as walking speed and walking distance, and peak aerobic capacity (VO- 2peak) are both decreased after stroke. Recent meta-analyses on the effect of aerobic exercise on walking capacity showed positive results for aerobic training. However, despite the fact that these results suggest that VO2peak is associated with walking capacity, the true relationship between them remains unclear. The purpose of this systematic review therefore was to summarize available evi-dence on the associations between VO2peak and walking capacity after stroke. Methods Medline, CINAHL, Embase, Cochrane and Sport discus were searched for relevant publications. The terms stroke, aerobic capacity and walking capacity were used to develop search strings. RCT’s or other studies reporting relevant associations at baseline, cross-sectional studies, and longitudinal studies were included. Methodological quality of the studies was assessed and a meta-analysis was per-formed on the reported correlations. Results Thirteen studies out of 998 retrieved citations were in-cluded. Six studies reported significant correlation coefficients between walking speed and VO2pe-ak, ranging from r = 0.29 to 0.54. Ten studies reported significant correlation coefficients between walking distance and VO2peak, ranging from r = 0.37 to 0.74. The meta-analysis showed overall correlation coefficients of 0.43 (95%CI: 0.31; 0.53) and 0.55 (95%CI: 0.46; 0.63) between walking speed and VO2peak and walking distance and VO2peak respectively. Conclusion The methodolog-ical quality of the studies was low. There is a positive relationship between VO2peak and walking capacity, the correlation coefficient of walking speed with VO2peak was low and was moderate for walking distance with VO2peak.
Karger_ESC London_2013
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